Healthcare Provider Details
I. General information
NPI: 1144150723
Provider Name (Legal Business Name): DEZURA COMFORT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1819 S DREXEL AVE
INDIANAPOLIS IN
46203-3536
US
IV. Provider business mailing address
1819 S DREXEL AVE
INDIANAPOLIS IN
46203-3536
US
V. Phone/Fax
- Phone: 317-935-8468
- Fax:
- Phone: 317-935-8468
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORAH
DEZURA
MCGRAW
Title or Position: CEO,OWNER
Credential: MCGRAW
Phone: 317-935-8468